Dr. Edward Gary Shaivitz
Prosthodontist
14333 Laurel Bowie Rd Ste 306
Laurel
, Maryland 20708-1183
Dr. Edward Gary Shaivitz
Prosthodontist
14333 Laurel Bowie Rd Ste 306
Laurel
, Maryland 20708-1183
(301) 490-5308
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About
Features
Specialties
- Prosthodontist
Languages spoken
- English
Location
First Address
- Dr. Edward Gary Shaivitz
- 14333 Laurel Bowie Rd Ste 306
- Laurel, MD
- Zip : 20708-1183
- Fax : (301) 490-5308
- Phone : (301) 490-5555
Second Address
- Dr. Edward Gary Shaivitz
- 14333 Laurel Bowie Rd Ste 306
- Laurel, MD
- Zip : 20708-1183
- Fax : (301) 490-5308
- Phone : (301) 490-5555
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0700X | Prosthodontist | 5236 | MD |
National Provider Identifier
| NPI | 1093932592 |
|---|---|
| Provider Name | Dr. Edward Gary Shaivitz |
| First Address | Laurel, MD 20708-1183 |
| Second Address | Laurel, MD 20708-1183 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/04/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.